نوع مقاله : Original Article(s)
نویسندگان
1 فوق تخصص جراحی اطفال، بیمارستان مریم، البرز، ایران
2 جراح عمومی و فوق تخصص جراحی پستان، بیمارستان مریم، البرز، ایران
3 کارشناس اتاق عمل، بیمارستان مریم، البرز، ایران
4 دکترای تخصصی سلامت باروری، عضو گروه مامایی، دانشکده‌ی پزشکی، دانشگاه علوم پزشکی البرز، البرز، ایران
چکیده
تازه های تحقیق
صلاح الدین دلشاد: PubMed, Google Scholar
مهسا خوشنام راد: PubMed, Google Scholar
کلیدواژه‌ها
موضوعات
عنوان مقاله [English]
نویسندگان [English]
Background: Vaginal agenesis is one of the important abnormality consequences of mullein duct formation defects in the reproductive health system. It's mainly seen in Myer-Rakitaneskia syndrome. The vagina agenesis can be corrected by neo- vagina surgery.
Methods: The seventy- two patients affected with vagina agenesis, who have surgeries by sigmoid vaginoplasty in Maryam hospital in Alborz province, participated in this retrospective study during 2018-2023. Patients were followed between 3 months to 4.5 years after surgery for operation outcomes.
Findings: The minimum age of the patient was 13, and the oldest was 40. Seven of the patients had Mc-Indoe's surgery history. The adverse outcomes of surgery were: bleeding at 5 (6.9%), pain at 3(4.1%), scant vaginal discharge at 3(4.1%), surgery site infection at 2 (2.7%), Vaginal tightness at 2(2.7%), and rectovaginal fistula at 3 (4.1%), respectively. At six and twelve months after the surgery, only two patients had complained of vaginal discharge. After sigmoid vaginoplasty surgery, five patients have successfully married. All patients had sexual function satisfaction.
Conclusion: Considering the usefulness of surgery with sigmoid graft in vaginal agenesis patients, the possibility of creating a suitable channel for sexual activity, few complications, and the possibility of communicating for up to 3 weeks after discharge, vaginoplasty with sigmoid graft is an appropriate method for treating patients without a vagina.
کلیدواژه‌ها [English]
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